Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07054 | Date 20/06/2024 |
| Token No | SM/24-25/23405 20/06/2024 | Serial | 033 |
| Patient Name | Mr. KAMAL DUTTAGUPTA | Contact No | 8910666140 |
| Address | C/121/X C BLOCK TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 66 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||